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DR. DANIEL CARL PRIDEMORE O.D.
NPI 1104189877
Optometrist in West Allis, WI

Active since June 19, 2012
2761 S 108TH ST, WEST ALLIS, WI 53227(414) 321-2425(414) 321-4647 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel Carl Pridemore O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL CARL PRIDEMORE O.D. (NPI 1104189877) is an individual optometrist in West Allis, Wisconsin, licensed in Wisconsin (3270-35) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1104189877
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DANIEL CARL PRIDEMORECredential: O.D.
Location Address2761 S 108TH STWest Allis, WI 53227-3232
Mailing Address2761 S 108th StWest Allis, WI 53227-3232
Phone(414) 321-2425
Fax(414) 321-4647
Sole ProprietorNo
Enumeration DateJune 19, 2012
✔ NPI 1104189877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3270-35
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2761 S 108TH ST, West Allis, WI 53227
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Other Identifiers 4

Medicare OSCAR/certification020677066WI
Medicare UPIN020677066WI
Medicare PIN020677066WI
Medicaid020677066WI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN LACZKOWSKI OD
Optometrist
2761 S 108TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2425
DR. SUNYA MASOOD OD
Optometrist
2761 S 108TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2425
STEIN OPTICAL INC
Eyewear Supplier
2761 S 108TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2425
VISIONWORKS, INC.
Eyewear Supplier
2761 S 108TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Pridemore's NPI number?

The NPI number for Daniel Pridemore is 1104189877. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Daniel Pridemore located?

Daniel Pridemore practices at 2761 S 108th St, West Allis, WI 53227. The listed phone number is (414) 321-2425.

What is Daniel Pridemore's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Daniel Pridemore was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.